Unique Plan Description: ED Pediatrics (JE FH)
Plan Selection Display: ED Pediatrics (JE FH)
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-14 22:46:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-02-21 09:13:54
Available at all facilities: Yes

ED Pediatrics (JE FH)
Laboratory
	CBC with Diff
		T;N, Stat, spec type = Blood
	Comprehensive Metabolic Panel
		T;N, Stat, spec type = Blood
	Influenza A and B Screen PCR
		T;N, Stat, spec type = Nasopharynx
	Infectious Mononucleosis Screen
		T;N, Stat, spec type = Blood
	Strep Group A PCR
		T;N, Stat, spec type = Throat
	Respiratory Syncytial Virus (RSV) PCR
		T;N, Stat, spec type = Nasopharynx
	Urinalysis
		T;N, Stat, Stat, spec type = Urine
	UA (Culture if Positive)
		T;N, Stat, Stat, spec type = Urine
Diagnostic Tests
	Chest 2 View
		T;N, Stat
IV Solutions
	Sodium Chloride 0.9%
		20 mL/kg, IV, Bolus
		500 mL, IV, STAT, Bolus
	DOPamine 400 mg/D5W 250 mL Premix IV
		250 mL, IV, STAT, Start: T;N, Duration: 1 Dose(s)/Time(s), Increment Increase: 2.5 mcg/kg/min, Increment Decrease: 2.5 mcg/kg/min, Increment Freq: 10 min(s), Max Dose: 50 mcg/kg/min
			Comment: 1600mcg/mL. .Notify MD if > 20mcg/kg/min.  If the dose has been titrated twice within the specified timeframe and goal parameter is not achieved, the titration dose can be doubled until the ordered parameter is achieved or maximum dose is reached.  IV may be re-initiated after weaning within 12hours, re-initiate at the last dosing rate that maintained Goal parameter. Discontinue order after 12hr if patient does not require IV re-initiation.
		400 mg, EVERY BAG, 2.5 mcg/kg/min
	EPINEPHrine 5 mg/NS 250 mL
		5 mg, EVERY BAG, 0.1 mcg/kg/min
		250 mL, IV, STAT, Start: T;N, Duration: 1 Dose(s)/Time(s), Increment Increase: 1 mcg/min, Increment Decrease: 1 mcg/min, Increment Freq: 3 min(s), Max Dose: 20 mcg/min
			Comment: Concentration: 20mcg/mL.  If the dose has been titrated twice within the specified timeframe and goal parameter is not achieved, the titration dose can be doubled until the ordered parameter is achieved or maximum dose is reached.  IV may be re-initiated after weaning within 12hours, re-initiate at the last dosing rate that maintained Goal parameter. Discontinue order after 12hr if patient does not require IV re-initiation.
	DOBUTamine 500 mg/D5W 250 mL
		500 mg, EVERY BAG, 2.5 mcg/kg/min
		250 mL, IV, STAT, Start: T;N, Duration: 1 Dose(s)/Time(s), Increment Increase: 1 mcg/kg/min, Increment Decrease: 1 mcg/kg/min, Increment Freq: 10 min(s), Max Dose: 40 mcg/kg/min
			Comment: Concentration: 2000mcg/mL. .Notify MD if > 20mcg/kg/min.  If the dose has been titrated twice within the specified timeframe and goal parameter is not achieved, the titration dose can be doubled until the ordered parameter is achieved or maximum dose is reached.  IV may be re-initiated after weaning within 12hours, re-initiate at the last dosing rate that maintained Goal parameter. Discontinue order after 12hr if patient does not require IV re-initiation.
Medications
	Tylenol 325 mg/10.15 mL elixir
		15 mg/kg, Elixir, BY MOUTH, Once, STAT
	acetaminophen 160 mg/5 mL oral liquid
		15 mg/kg, Liquid, By Mouth, Once, STAT
	Tylenol
		80 mg, Tablet-Chew, BY MOUTH, Once, STAT
	dexAMETHasone 10 mg/mL injectable solution
		0.6 mg/kg, Injection, IM-Intramuscular, Once, STAT
	acetaminophen 10 mg/mL intravenous solution
		15 mg/kg, Solution-Injection, IVPB, Once, STAT, duration: 1 Dose(s)/Time(s)
	Motrin oral suspension
		10 mg/kg, Suspension, By Mouth, Once, STAT
		Hypoglycemia treatment for premie(NOTE)*
	Dextrose 10% intravenous soln (Bolus)
		2 mL/kg, Soln, IV PUSH, Once, STAT
			Comment: Infuse over 5 min.
		Hypoglycemia treatment for term infants and children(NOTE)*
	Dextrose 25% in Water syringe
		1 mL/kg, Syringe, IV Push, Once, STAT, 5 min(s)
		2 mL/kg, Syringe, IV Push, Once, STAT, 5 min(s)
	albuterol 2.5 mg/3 mL (0.083%) inh soln
		3 mL, Solution-Nebulization, NEBULIZED, Once, STAT
	Rocephin IVPB
		50 mg/kg, Injection-Premix, IVPB, Once, STAT
		100 mg/kg, Injection-Premix, IVPB, Once, STAT
	Rocephin IVPB (FH)
		50 mg/kg, INT, IVPB, Once, STAT
		100 mg/kg, INT, IVPB, Once, STAT
	azithromycin
		10 mg/kg, Suspension, By Mouth, Once, STAT
	gentamicin IVPB (NICU)
		4 mg/kg, Injection, IVPB, Once, STAT
	gentamicin IVPB (FH)
		4 mg/kg, INT, IVPB, Once, STAT
	Zithromax IVPB
		10 mg/kg, INT, IVPB, Once, STAT
	vancomycin - Pharmacy to Dose
		
	ampicillin IVPB
		50 mg/kg, INT, IVPB, Once, STAT
		100 mg/kg, INT, IVPB, Once, STAT
	ampicillin IVPB (FH)
		50 mg/kg, INT, IVPB, Once, STAT
			Comment: Dilute vials as follows to get concentration of 100mg/mL250mg=2.5mL500mg=5ml1000mg=10mLWithdraw ___ml for dose of ___mgExpires: 1 hr
		100 mg/kg, INT, IVPB, Once, STAT
			Comment: Dilute vials as follows to get concentration of 100mg/mL250mg=2.5mL500mg=5ml1000mg=10mLWithdraw ___ml for dose of ___mgExpires: 1 hr
	Cleocin IVPB
		10 mg/kg, INT, IVPB, Once, STAT
	nafcillin
		25 mg/kg, INT, IVPB, Once, STAT
		50 mg/kg, INT, IVPB, Once, Other- type in, meningitis, STAT
	Unasyn IVPB
		75 mg/kg, INT, IVPB, Once, STAT
	Unasyn IVPB (FH)
		75 mg/kg, INT, IVPB, Once, STAT
		cefTRIAXone(NOTE)*
	Rocephin IM
		25 mg/kg, Injection, IM-Intramuscular, Once, STAT
			Comment: Routine is 25 to 50 mg/kg/dose
		50 mg/kg, Injection, IM-Intramuscular, Once, STAT
			Comment: Routine is 25 to 50 mg/kg/dose
	Xylocaine-MPF 1% preservative-free injectable solution
		mL, Injection, IM-Intramuscular, Once, STAT
			Comment: Use lidocaine to dissolve cefTRIAXone according to reconstitution directions.
Patient Care
	Continuous Pulse Oximetry by Nurse
		T;N, Once
	Oxygen Therapy, Nurse to Administer
		T;N, Via Nasal Cannula, Constant Indicator
	Glucose POC - RN
		T;N, Once
Consults/Follow-up
	Consult Pediatrics

racemic epinephrine-NS (racepinephrine)
Medications
	racepinephrine 2.25% inhalation soln
		0.5 mL, Solution-Nebulization, NEBULIZED, Once, NOW
			Comment: Mix with 3 mL sodium chloride 0.9% inh soln.
	sodium chloride 0.9% inhalation solution
		3 mL, Solution-Nebulization, NEBULIZED, Once, NOW
			Comment: Mix with 0.5 mL racemic EPINEPHrine

ED Peripheral Lock Insert with Flush
	sodium chloride 0.9% flush injectable soln
		10 mL, Syringe, IV PUSH, Q5MIN, PRN, IV line flush, 4 hr
Patient Care
	Peripheral Lock-Insert
		T;N, Once

levalbuterol (Xopenex) PED 0.625 mg/0.25 mL (ONCE)
Medications
	levalbuterol 1.25 mg/3 ml inhalation solution
		1.5 mL, Solution-Nebulization, NEBULIZED, Once, STAT
	sodium chloride 0.9% inhalation solution
		1.5 mL, Solution-Nebulization, NEBULIZED, Once, STAT

ED Blood Culture Set
Laboratory
	.Blood Culture.
		T;N, Stat, spec type = Blood
		T;N, Routine, spec type = Blood
	.Blood Culture
		T;N, Stat, spec type = Blood
		T;N, Routine, spec type = Blood

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase